Individual provider · Type 1 NPI

Autumn Wickersham, L.P.C.

Mental Health Counselor · Perrysburg, OH

NPI number 1689127177 Active

Practice location

836 W South Boundary St
Perrysburg, OH 43551

Call (419) 874-3201 Map

Mailing address

26609 Amberwood Dr
Perrysburg, OH 43551

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1500510 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1689127177

Autumn Wickersham, L.P.C.'s National Provider Identifier is 1689127177, issued on Aug 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Perrysburg, OH. The record was last updated on Aug 1, 2016.